Ahavah Center LLC
Clinic/Center in Las Vegas, NV. Organization (NPI-2).
NPI number1346863073
StatusActive
Last updated in NPPESMay 28, 2020
Details
- NPI
- 1346863073
- Entity type
- Organization (NPI-2)
- Legal business name
- Ahavah Center LLC
- Organization subpart
- No
- Enumeration date
- May 28, 2020
- Certification date
- May 28, 2020
- Last updated
- May 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
2110 E Flamingo Rd Ste 321Las Vegas, NV 89119-5190
Phone 775-538-5104
Mailing address
2110 E Flamingo Rd Ste 321Las Vegas, NV 89119-5190
Phone 775-538-5104
Authorized official
Jshauntae Marshall
Director
7755385104
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